Episodes of Care

Condition/event specific analytics with a focus on patient journey & including all relevant aspects of the care continuum; includes the design, implementation and evaluation of episode-based payment models as well claims-based analytics which may incorporate data from other sources to inform operational and financial decisions (e.g., network design) or influence consumer behavior

Total Cost of Care

Design, implementation and evaluation of initiatives to reduce medical spend and improve quality through population-based programs and payment models, with focus on both patient centered medical homes (PCMH), and accountable care organizations (ACO)

Network Analytics

Analytics to support insurers in evaluating, designing, and optimizing provider networks using a combination of provider assessment, geo-spatial analytics, and systems optimization

Special Needs Populations

Design and implementation of innovative payment and care delivery models focusing on special needs populations, including the behavioral health population, people with developmental disabilities, and those in need of long term services and supports

Healthcare Data Management

Design, development and operation of Big Data capabilities that include infrastructure, technology/platform, data acquisition, data integration (both client and third party data), quality analytics, and data enhancement/enrichment to enable all analytics provided by other domains

Provider Pricing

Analytics to assess health care providers’ pricing and contracting positions, recommend pricing and contracting strategies, and support development of managed care contracting capabilities